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Analysis of Health Screening Records Using Interpretations of Predictive Models

机译:利用预测模型解释的健康筛查记录分析

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Health screening is conducted in many countries to track general health conditions and find asymptomatic patients. In recent years, large-scale data analyses on health screening records have been utilized to predict patients' future health conditions. While such predictions are significantly important, it is also of great interest for medical researchers to identify factors that could deteriorate patients' medical conditions in the future. For this purpose, we propose to use interpretations of trained predictive models. Specifically, we trained machine learning models to predict future diabetes stages, then applied permutation importance, SHapley Additive explanations (SHAP), and a sensitivity analysis to extract features that contribute to aggravation. Among the trained models, XGBoost performed best in terms of the Matthews correlation coefficient. Permutation importance and SHAP showed that the model makes good predictions using a number of attributes conventionally known to be related to diabetes, but also those not commonly used in the diagnosis of diabetes. A sensitivity analysis showed that the predictions' changes were mostly consistent with our intuition on how daily behavior affects type 2 diabetes's aggravation.
机译:在许多国家进行健康筛查,以跟踪一般健康状况并找到无症状的患者。近年来,已经利用了对健康筛查记录进行大规模数据分析来预测患者的未来健康状况。虽然这种预测显着重要,但对于医学研究人员来说,识别可能在未来患者的医疗状况恶化的因素也是很大的兴趣。为此目的,我们建议使用训练有素的预测模型的解释。具体而言,我们培训了机器学习模型,以预测未来的糖尿病阶段,然后应用置换重要性,福芙尼添加剂解释(Shap),以及提取有助于加重的特征的灵敏度分析。在训练有素的模型中,XGBoost就马太福队相关系数而言表现最佳。排列重要性和Shap表明,该模型使用常规已知与糖尿病相关的许多属性进行了良好的预测,而且还具有常用于糖尿病诊断的属性。敏感性分析表明,预测的变化大多是与我们对日常行为如何影响2型糖尿病的加重的直觉。

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